Download - Benda Asing Di Brongkus
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BENDA ASING BRONKUS
Oleh :dr. H. Fachzi Fitri, Sp.THT-KL,
MARS
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DEFINISI
Benda yang berasal dari • Luar tubuh• Dalam tubuh
dalam keadaan normal tidak ada, yang tersangkut dan terjepit di bronkus karena teraspirasi, baik secara sengaja maupun tidak sengaja
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Faktor Predisposisi
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Anatomi
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ANATOMITrakea bercabang 2 bronkus, sekat percabangan = Karina
Letak karina lebih ke kiri luas lumen bronkus kanan > kiri
Bronkus utama kanan hampir membentuk garis lurus dengan trakea benda asing lebih mudah masuk
Otot trakea bekerja mendorong benda ke kanan
Udara inspirasi bronkus kanan > kiri
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Patofisiologi
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Jenis Sumbatan Bronkus (Jackson 1936)• Sumbatan sebagian dari bronkus
(bypass valve obstruction = katup bebas) mengi
• Sumbatan seperti pentil (expiratory check – valve obstuction = katup penghambat ekspirasi). emfisema paru obstructive
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• Sumbatan seperti pentil yang lain (ispiratory check valve obstruction = katup penghambat inspirasi) atelektasis
• Sumbatan total (stopvalve obstruction = katup tertutup) atelektasis
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Gejala Klinik
3 stadium
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Diagnosis
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Penatalaksanaan
PRINSIP pengangkatan segera secara endoskopik dengan trauma minimum
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• Terapi Suportif– Pemberian oksigen– Monitor jantung– Pulse oxymetri– Steroid dan antibiotik preoperatif
• Pengeluaran benda asing dengan bantuan bronkoskopi
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Komplikasi
• Awal – Sianosis– Respiratory distress– Respiratory arrest
• Akhir– Pneumoni– Empiema– Fistula bronchial– Pneumothoraks
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Prognosis
• Sebagian besar sembuh tanpa komplikasi menetap
• Penundaan diagnosis morbiditas lebih berat
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